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Related Experiment Video

Updated: Feb 13, 2026

Methods for Comparing Nutrients in Beebread Made by Africanized and European Honey Bees and the Effects on Hemolymph Protein Titers
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Strategic Purchasing in Practice: Comparing Ten European Countries.

Katarzyna Klasa1, Scott L Greer1, Ewout van Ginneken2

  • 1University of Michigan, School of Public Health, Department of Health Management and Policy, 1415 Washington Heights, Ann Arbor, MI, 48109, United States of America.

Health Policy (Amsterdam, Netherlands)
|March 6, 2018
PubMed
Summary

Strategic purchasing of health care services is rarely implemented effectively in Europe. Policymakers should recognize this systemic issue and focus on specific components for potential health system benefits.

Keywords:
ContractingEuropean health systemsHealth systems in transitionInternational health systemsPurchasingStrategic purchasing

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Area of Science:

  • Health policy and systems research
  • Comparative health system analysis
  • Healthcare management and financing

Background:

  • Strategic purchasing of healthcare services is a recommended policy tool.
  • Existing literature and trends in ten European countries were examined.
  • Current healthcare purchasing mechanisms often lack strategic implementation.

Purpose of the Study:

  • To assess the extent and effectiveness of strategic purchasing in European healthcare systems.
  • To identify challenges and potential benefits of strategic purchasing implementation.
  • To provide evidence-based insights for policymakers regarding healthcare purchasing strategies.

Main Methods:

  • Systematic literature review of European Observatory on Health Systems and Policies resources.
  • Analysis of country-specific literature and recent healthcare trends.
  • Comparative analysis across ten selected European countries.

Main Results:

  • Little evidence supports the strategic nature of current healthcare purchasing mechanisms in Europe.
  • Existing systems show minimal impact on population health, citizen empowerment, or governance.
  • Strategic purchasing, as defined, has not been widely implemented across European health systems.

Conclusions:

  • Strategic purchasing is generally not implemented effectively in European healthcare systems.
  • Policymakers must address systemic implementation challenges and avoid assumptions about strategic purchasing effectiveness.
  • Individual components of strategic purchasing offer potential benefits and are worth pursuing for health system improvement.